caa a22 4500 445336617 CHVBK 20180317142757.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1245/s10434-010-1446-9 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1446-9 Impact of a Temporary Stoma on the Quality of Life of Rectal Cancer Patients Undergoing Treatment [Elektronische Daten] [Heather Neuman, Sujata Patil, Sarah Fuzesi, W. Wong, Martin Weiser, José Guillem, Philip Paty, Garrett Nash, Larissa Temple] Background: Data from randomized controlled trials support use of a diverting stoma in rectal cancer patients with low anastomoses, but there is little data on how this impacts patient quality of life (QOL). This study prospectively evaluates QOL in stage I-III rectal cancer patients undergoing sphincter-preserving surgery (SPS) with a temporary diverting stoma. Materials and Methods: Patents were identified from a prospective single-institution study of stage I-III rectal cancer patients undergoing SPS. Patients completed the EORTC C30/CR38 QOL scale preoperatively, at stoma closure, and at 6months. The Stoma Quality of Life (SQOL) was administered at stoma closure. Subscales of the EORTC hypothesized to be affected by a diverting stoma were identified a priori. Longitudinal trends were analyzed using repeated measures ANOVA. Frequencies for responses on specific SQOL items were tabulated, and correlations between SQOL subscales and EORTC Global QOL assessed with Pearson correlation coefficient. Results: Global QOL was reportedly good (mean score 70.2) and did not change with a temporary stoma (P=.83). Physical (P=.33), role (P=.07), and social function (P=.48) were also stable. Decreased body image was observed (P=.03). Stoma-related difficulties identified by the SQOL included sexual activity (53%), leakage (39%), discomfort in clothing (34%), concerns regarding privacy to empty pouch (32%), and feeling unattractive (31%). "Overall satisfaction with life,” Work/social function (P<.001), sexuality/body image (P=.01), and stoma function (P=.01) subscales of the SQOL correlated strongly with the EORTC Global QOL score (P<.001). Conclusion: In this longitudinal study of QOL in rectal cancer patients with a temporary stoma, Global QOL was good despite significant stoma-related difficulties. Use of alternative research methodology is necessary to provide insight into why this contradiction exists. Society of Surgical Oncology, 2010 Neuman Heather University of Wisconsin, Madison, WI, USA aut Patil Sujata Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Fuzesi Sarah Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Wong W. Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Weiser Martin Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Guillem José Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Paty Philip Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Nash Garrett Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Temple Larissa Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1397-1403 1068-9265 18:5<1397 2011 18 10434 https://doi.org/10.1245/s10434-010-1446-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1446-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Neuman Heather University of Wisconsin, Madison, WI, USA aut NATIONALLICENCE 700 1- Patil Sujata Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Fuzesi Sarah Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Wong W. Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Weiser Martin Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Guillem José Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Paty Philip Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Nash Garrett Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 700 1- Temple Larissa Memorial Sloan-Kettering Cancer Center, New York, NY, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/5(2011-05-01), 1397-1403 1068-9265 18:5<1397 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer